what does impaired diastolic filling of left ventrical mean?

[jjmb711]

wondering what all of this means , im concerned about the results because i dont understand them and wondering if i need to look into this further with more testing ? and what is impaired diastolic filling .

here are my results ,

left atrium - borderline dialated
aortic valve - trileaflet aortic valve noted. trivial aortic regurgitation
mitral valve -trace mitral insufficiency
pulmanic valve - trace insufficiency
tricuspid valve - trace regurgitation

conclusions- normal left ventrical size and systolic function with impaired diastolic filling ,
no regional left ventricul wall motion abnormalties are seen.
estimated ejection fraction is >60%. trivial aortic regurgitation, and left atrium is borderline dialated.

[jjmb711]

THANK YOU FOR RESPONDING . I HAVE HIGH BLOOD PRESSURE THAT IS NOT ALWAYS UNDER CONTROL MORE SO NOW THAT I AM GOING THROUGH MENOPUASE AND MY DOC SEEMS TO THINK THAT MENOPUASE HAS SOMETHING TO DO WITH THAT BECAUSE IT SEEMS THAT IT GOES HIGHER AT CERTAIN TIMES OF THE MONTH WHEN MY MENSTRAL CYCLE WOULD BE , HE REALLY DID NOT EXPLAIN SOME OF THE OTHER FINDINGS WITH ME HE JUST SAID THAT WE NEED TO KEEP THE PRESSURE DOWN . I ALSO GET PAC'S AT CERTAIN TIMES OF THE MONTH BUT THEY ARE NOT CONSTANT THAT SHOWED ON A HEART MONITOR ,THOSE TEST RESULTS SAID FREQUENT ATRIAL PREMATURE CONTRACTIONS, 2 COUPLETS AND EPISODES OF ATRIAL TRIGEMINY . TEST RECORDED AROUND 3,500 IN A 24 HOUR PERIOD BUT THEY ARE NOT ALWAYS THERE EVERYDAY. I WAS A BIT CONFUSED AT MY RESULTS BECAUSE MY DOC DID NOT EXPLAIN WHAT ALL MY TEST RESULTS MEAN AND DID NOT SEEM ALARMED I ASKED IF I SHOULD GO FOR FURTHER TESTING BUT HE SAID HE DIDNT FEEL I HAD TO , IT WAS ONLY AFTER READING THE REPORTS MYSELF THAT I WAS CONFUSED AND FEELING THAT MAYBE I SHOULD GET A SECOND OPINION BECAUSE HEART ISSUES DO RUN IN MY FAMILY BOTH SIDES, I WAS ALSO WONDERING IF ANY OF THESE FINDINGS COULD  BE REVERSED OR DOES THE VALVE ISSUES JUST STAY LIKE THIS AS WELL AS THE IMPAIRED FILLING ? I THINK I WILL GO FOR THE SECOND OPINION WHEN I CAN TO MAKE SURE .

[ed34]

The report is suggesting the left atrium is now borderline dilated. Do you think a more accurate test for mitral regurgitation would be advisable, and an investigation into pressure/infection? If these are causing issues, then wouldn't regurgitation increase as the insufficiency of the valve increases? Of course if the atrium continues to dilate, there is a danger the valve will eventually be pushed out of shape. I may be over reacting, but I'm one of those who likes to be safe rather than sorry and catch things as early as possible. Is a standard Echo that accurate for measuring regurgitation? I thought it just showed a flash of colours on the screen and the technician had to make a judgement on what they see?

[CCFHeartMD17]

Based on the results of your echocardiogram that you have described here, the squeezing action of your heart is good (“ejection fraction > 60%”). The report also details a small degree of back flow across the valves in your heart (“regurgitation”) but this has been described as “trace and trivial” which suggests that the degree of backflow is not currently problematic. It might be a good idea to keep an eye on the valves with repeat echocardiogram in the future.
Diastolic filling occurs when the heart muscle relaxes and allows the heart cavity to fill with blood. This blood is then pumped around your body when you heart squeezes/contracts. The degree of “impaired diastolic filling” is not reported here and this is something you can discuss with your cardiologist who may have a more complete report. Impaired diastolic filling is quite prevalent in the population and  can be seen for example in older people, diabetics, and people with high blood pressure just to list a few groups.
It will be important to discuss the result of your echocardiogram with your cardiologist who will be better able to put it in context of your medical history. Your cardiologist will also be better able to comment on the timing of repeat echocardiogram to check in on the function of your valves and on the squeeze and relaxation function of your heart.